牙刷刷洗与棉球擦洗法用于经口气管插管患者口腔护理的效果比较

Comparison on the effect of oral nursing by tooth-brushing and cotton scrubbing for the patients with orotracheal intubation

目的比较牙刷刷洗加0．05％碘伏冲洗法与棉球擦洗加0．05％碘伏冲洗法对经口气管插管患者口腔护理的效果。方法将86例经口气管插管患者随机分为棉球擦洗组（对照组）42例和牙刷刷洗组（实验组）44例，比较两种方法在行口腔护理后10min及4h口腔内的pH值、口臭和口腔炎症的发生率。结果对照组口腔护理10min后口腔pH值维持在6．6～7．1的为66．6％，4h后为40．4％，口臭发生率为42．8％，口腔炎症发生率为38．0％；实验组口腔护理10min后口腔pH值维持在6．6～7．1的为86．3％，4h后为77．2％，口臭发生率为22．7％，口腔炎症发生率为13．6％。两组上述4项指标比较差异均有统计学意义（P〈0．05）。结论对经口气管插管患者行牙刷刷洗加0．05％碘伏冲洗法，其口腔护理的效果明显优于棉球擦洗加0．05％碘伏冲洗法。

Objective To explore the oral care effects of tooth-brushing with 0.05% iodophor and oral cotton scrubbing with 0.05% iodophor for the patients with orotracheal intubation. Methods 86 patients with orotracheal intubation were randomly divided into cotton scrubbing group （ control group, 42 cases） and tooth- brushing group （ experimental group, 44 cases）. Oral PH values, the incidence of fetor oris and stomatitis lOmin and 4 hours after care were compared. Results In the control group, oral PH value of 66. 6% patients maintained 6.6 -7.1 10min after care and the proportion was 40.4% after 4 hours; the incidence of fetor oris and stomatitis were 42.8% and 38.0% respectively. In the experimental group, oral PH value of 86.3% patients maintained 6.6 - 7. 1 10min after care and 77.2% after 4 hours; the incidence of fetor otis and stomatitis were 22.7% and 13.6% respectively. The differences of all the four indicators between the two groups has reached statistical significance （ P 〈 0. 05 ）. Conclusions The oral care effects of tooth-brushing with 0.05% iodophor were much better than oral cotton scrubbing with 0.05% iodophor for the patients with orotraeheal intubation.